{"id":42,"date":"2015-12-21T00:52:11","date_gmt":"2015-12-20T22:52:11","guid":{"rendered":"http:\/\/onderkayigil.com.tr\/onder\/?page_id=42"},"modified":"2021-01-10T19:00:10","modified_gmt":"2021-01-10T16:00:10","slug":"kadinlarda-idrar-kacirma","status":"publish","type":"page","link":"https:\/\/onderkayigil.com.tr\/en\/kadinlarda-idrar-kacirma\/","title":{"rendered":"Urinary Incontinence in Women"},"content":{"rendered":"

\"\"<\/a>\"\"<\/a>En s\u0131k kar\u015f\u0131la\u015f\u0131lan ve sosyal ya\u015fant\u0131y\u0131 da etkileyebilerek \u00f6nemli ya\u015fam kalitesi azalmas\u0131na yol a\u00e7an sa\u011fl\u0131k problemlerindendir. Temel neden, idrar yolunu destekeyen dokularda gev\u015femeye ba\u011fl\u0131 olarak ge\u00e7ekle\u015fen sarkmayla i\u015feme dinamiklerinin bozulmas\u0131d\u0131r. Bir\u00e7ok nedeni vard\u0131r fakat en \u00e7ok zorlu do\u011fumlar ve rahmin cerrahi olarak al\u0131nmas\u0131 anlam\u0131na gelen histerektomi ameliyatlar\u0131 sonras\u0131nda g\u00f6r\u00fcl\u00fcr. Genelde kar\u0131n i\u00e7i bas\u0131nc\u0131n\u0131 y\u00fckselten a\u011f\u0131r kald\u0131rma, \u00f6ks\u00fcrme ve g\u00fclme gibi eylemler s\u0131ras\u0131nda istemsiz ka\u00e7a\u011f\u0131 tan\u0131mlayan stress inkontinas \u015feklindedir.<\/p>\n

Bu durum d\u0131\u015f\u0131nda s\u0131k\u0131\u015fma tarz\u0131nda idrar ka\u00e7a\u011f\u0131 tuvalete yeti\u015fememe \u015feklinde kendini g\u00f6sterebilir. Bu iki durum beraber olarak ayn\u0131 hastada g\u00f6r\u00fclebilir.<\/p>\n

\"\"<\/a>Tan\u0131da hastan\u0131n verdi\u011fi hikaye en \u00f6nemli ay\u0131r\u0131c\u0131 tan\u0131 y\u00f6ntemidir. Ayr\u0131ca sistoskopi( Mesanenin endoskopik y\u00f6ntemle g\u00f6zlenmesi) esnas\u0131nda hastay\u0131 \u00f6ks\u00fcrterek idrar yolu a\u00e7\u0131s\u0131n\u0131 de\u011felendiren stress test ve gerekirse idrar tobas\u0131n\u0131n i\u015feme dinamiklerini de\u011ferlendiren ve idrar torbas\u0131na bir kateter tak\u0131m\u0131n\u0131 takiben s\u0131v\u0131 verilerek yap\u0131lan \u00fcrodinami testleri de \u00f6nemlidir.<\/p>\n

Tedavide kullan\u0131lan ila\u00e7lar ve alternatif y\u00f6ntemler yetersiz olursa cerrahi tedaviler g\u00fcndeme gelir. Kar\u0131ndan ve vagenden yakla\u015f\u0131mla yap\u0131lan bir\u00e7ok teknik olmas\u0131na ra\u011fmen son zamanlarda ask\u0131 ameliyat\u0131 anlam\u0131na gelen sling operasyonlar\u0131 pop\u00fcler olmu\u015ftur.<\/p>\n

1992 tarihinden itibaren 200\u2019den fazla inkontinans hastas\u0131 taraf\u0131m\u0131zdan opere edilmi\u015ftir. 2000’li y\u0131llardan beri taraf\u0131m\u0131zdan tan\u0131mlanan ve \u00e7ok prestijli bir uluslararas\u0131 dergide yay\u0131nlad\u0131\u011f\u0131m\u0131z \u00e7ift katl\u0131 (Double forced) sling tekni\u011fi hastalar\u0131m\u0131zda uygulanmaktad\u0131r. Ameliyatlar s\u0131ras\u0131nda kullan\u0131lan ask\u0131 materyalinin hangisinin en iyi oldu\u011fu sorusuna yapt\u0131\u011f\u0131m\u0131z bir hayvan deneyi \u00e7al\u0131\u015fmas\u0131yla netlik kazand\u0131r\u0131lm\u0131\u015ft\u0131r. Bu \u00e7al\u0131\u015fmada\u00a0 en iyi sling materyali olarak belirlenen ultrapro me\u015fin yapt\u0131\u011f\u0131m\u0131z ileriye y\u00f6nelik (Randomize prospektif) \u00e7al\u0131\u015fmada da en iyi materyal olarak bulundu\u011funu belirtmek gerekecektir. Hayvan deneyi ve daha sonras\u0131nda yapt\u0131\u011f\u0131m\u0131z klinik \u00e7al\u0131\u015fmalar yine prestijli uluslararas\u0131 dergilerde yay\u0131nlanm\u0131\u015ft\u0131r.<\/p>\n

\"\"<\/a>Stres inkontinans\u0131n \u00f6zellikle ileri ya\u015fl\u0131 kad\u0131nlarda anesteziye gerek duyulmadan endoskopik olarak noninvaziv olarak tan\u0131mlayabilece\u011fimiz ve idrar yolunun i\u00e7ine direnci art\u0131ran maddenin enjeksiyonunu tan\u0131mlayan suburetral enjeksiyon y\u00f6ntemi de \u00f6zellikle iyi se\u00e7ilmi\u015f hastalarda ba\u015far\u0131yla uygulanabilen bir y\u00f6ntemdir.<\/p>\n","protected":false},"excerpt":{"rendered":"

En s\u0131k kar\u015f\u0131la\u015f\u0131lan ve sosyal ya\u015fant\u0131y\u0131 da etkileyebilerek \u00f6nemli ya\u015fam kalitesi azalmas\u0131na yol a\u00e7an sa\u011fl\u0131k problemlerindendir. Temel neden, idrar yolunu destekeyen dokularda gev\u015femeye ba\u011fl\u0131 olarak ge\u00e7ekle\u015fen sarkmayla i\u015feme dinamiklerinin bozulmas\u0131d\u0131r. Bir\u00e7ok nedeni vard\u0131r fakat en \u00e7ok zorlu do\u011fumlar ve rahmin cerrahi olarak al\u0131nmas\u0131 anlam\u0131na gelen histerektomi ameliyatlar\u0131 sonras\u0131nda g\u00f6r\u00fcl\u00fcr. Genelde kar\u0131n i\u00e7i bas\u0131nc\u0131n\u0131 y\u00fckselten a\u011f\u0131r […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-42","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/onderkayigil.com.tr\/en\/wp-json\/wp\/v2\/pages\/42","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/onderkayigil.com.tr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/onderkayigil.com.tr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/onderkayigil.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/onderkayigil.com.tr\/en\/wp-json\/wp\/v2\/comments?post=42"}],"version-history":[{"count":6,"href":"https:\/\/onderkayigil.com.tr\/en\/wp-json\/wp\/v2\/pages\/42\/revisions"}],"predecessor-version":[{"id":558,"href":"https:\/\/onderkayigil.com.tr\/en\/wp-json\/wp\/v2\/pages\/42\/revisions\/558"}],"wp:attachment":[{"href":"https:\/\/onderkayigil.com.tr\/en\/wp-json\/wp\/v2\/media?parent=42"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}